Erie St. Clair
Information and Referral
310-2222
Toll-free:1-888-447-4468
TTY:519-258-8092
[email protected]
IMPORTANT: DO NOT send any personal health information. This email is not for patient feedback or referrals. Please call us directly at the numbers listed above. We aim to respond within 72 hours, however, this email account is not checked on weekends or statutory holidays.
IMPORTANT: DO NOT send any personal health information. This email is not for patient feedback or referrals. Please call us directly at the numbers listed above. We aim to respond within 72 hours, however, this email account is not checked on weekends or statutory holidays.
Visit Erie St. Clair Healthline
Erie St. Clair Office Locations
-
Chatham (Corporate Office)
180 Riverview Drive,
Chatham, ON, N7M 5Z8
Fax: Chatham-Kent – 519-351-5842 -
Chatham Clinic
462 Riverview Drive
Chatham, ON, N7M 0N2
-
Sarnia Office & Clinic
1150 Pontiac Drive,
Sarnia, ON, N7S 3A7
Fax: Sarnia-Lambton: 519-337-4331 -
Windsor Office & Clinic
5415 Tecumseh Road, East,
Windsor, ON, N8T 1C5
Fax: Windsor-Essex: 519-258-6288
Compliments and Concerns?
Please share your feedback with your care coordinator. You may also share compliments or concerns in the following ways:
Email: [email protected]
Phone: 1-888-447-4468 ext. 5378
Mail: Home and Community Care Support Erie St. Clair Compliments and Concerns
Attn: Patient Relations Specialist
180 Riverview Drive
Chatham, ON N7M 5Z8
Newsroom and Media Relations
Visit our newsroom for more information on news and events.
For all media-related enquiries, please contact [email protected].
For non-media-related enquiries about Home and Community Care Support Services and to serve you best, please visit the Contact Us page to access additional contact information.
Publications
Forms
| Title | Excerpt | Categories | Link | hf:doc_tags | hf:doc_categories | hf:file_type |
|---|---|---|---|---|---|---|
| Assessment & Service Plan Authorization Private/In-Home School | Assessment service plan form – fillable | Forms | erie-st-clair | forms | ||
| BWH-ER Referral and Treatment Form | Bluewater Water Health emergency referral and treatment form – fillable | Forms | erie-st-clair | forms | ||
| BWH-Inpatient Referral and Treatment Form | Bluewater Water Health inpatient referral and treatment form – fillable | Forms | erie-st-clair | forms | ||
| BWH-Outpatient Referral and Treatment Form | Bluewater Water Health outpatient referral and treatment form – fillable | Forms | erie-st-clair | forms | ||
| CHSS Referral Form Public Private | Children’s Health School Services Program referral form – fillable | Forms | erie-st-clair | forms | ||
| CHSS Referral Form Public Private French | Children’s Health School Services Program referral form – fillable, French | Forms | erie-st-clair | forms | ||
| CKHA-ER Referral and Treatment Plan Form | Chatham-Kent Health Alliance emergency referral and treatment form – fillable | Forms | erie-st-clair | forms | ||
| CKHA-Inpatient Referral and Treatment Plan Form | Chatham-Kent Health Alliance inpatient referral and treatment form – fillable | Forms | erie-st-clair | forms | ||
| CKHA-Outpatient Referral and Treatment Form | Chatham-Kent Health Alliance outpatient referral and treatment form – fillable | Forms | erie-st-clair | forms | ||
| Electrical Stimulation (eSTIM) Non-Formulary Order Form | Electrical Stimulation (eSTIM) non-formulary order form – fillable | Forms | erie-st-clair | forms | ||
| Electrical Stimulation (eSTIM) Referral Assessment | Electrical Stimulation (eSTIM) referral assessment form – fillable | Forms | erie-st-clair | forms | ||
| Equipment Rental Authorization Order Form | Equipment rental authorization/order form – fillable | Forms | erie-st-clair | forms | ||
| ESHC-ER Referral and Treatment Form | Erie Shores HealthCare emergency referral and treatment form – fillable | Forms | erie-st-clair | forms | ||
| ESHC-Inpatient Referral and Treatment Form | Erie Shores HealthCare inpatient referral and treatment form – fillable | Forms | erie-st-clair | forms | ||
| ESHC-Outpatient Referral and Treatment Form | Erie Shores HealthCare outpatient referral and treatment form – fillable | Forms | erie-st-clair | forms | ||
| Feeding Respiratory Suction Med. Equipment & Supplies Order Form | … | Forms | erie-st-clair | forms | ||
| First Dose Parenteral Screener (ESC) | First dose parenteral screener form – fillable | Forms | erie-st-clair | forms | ||
| geko Device Eligibility Checklist & Assessment Tool | … | Forms | erie-st-clair | forms | ||
| Guidelines for Provision of KCI VAC NPWT | Guidelines for provision of KCI VAC negative pressure wound therapy | Forms, Guide | erie-st-clair | forms guide | ||
| HDGH-Inpatient Referral and Treatment Form | Hôtel-Dieu Grace Healthcare inpatient referral and treatment form – fillable | Forms | erie-st-clair | forms | ||
| Medical Supply Order Form | … | Forms | erie-st-clair | forms | ||
| Medical Update Request Form | Medical update request form | Forms | erie-st-clair | forms | ||
| Medical Update Request Form – Wound | Medical update request form – wound | Forms | erie-st-clair | forms | ||
| MHAN e-Referral Form | Mental Health and Addictions Nursing Program Referral Form for School Board, Community Agencies, etc. | Forms | erie-st-clair | forms | html | |
| MHAN Self-Referral Form | Mental Health and Addictions Nursing Program Self Referral Form | Forms | erie-st-clair | forms | html | |
| Negative Pressure Wound Therapy | Negative pressure wound therapy supply order form – fillable | Forms | erie-st-clair | forms | ||
| Negative Pressure Wound Therapy – Referral Assessment | Negative pressure wound therapy referral assessment form – fillable | Forms | erie-st-clair | forms | ||
| Non-formulary Medical Equipment Order Form | Non-formulary medical equipment order form – fillable | Forms | erie-st-clair | forms | ||
| Non-formulary Medical Supplies Order Form | Non-formulary medical supplies order form – fillable | Forms | erie-st-clair | forms | ||
| Offloading Shoe Assessment Form | Offloading assessment form – fillable | Forms | erie-st-clair | forms | ||
| Ostomy Consultation Report | … | Forms | erie-st-clair | forms | ||
| Ostomy Supply Order Form | Ostomy supply order form – fillable | Forms | erie-st-clair | forms | ||
| Providers Cupboard Usage | Providers cupboard usage order form – fillable | Forms | erie-st-clair | forms | ||
| Referral and Treatment Form | Referral and treatment plan form – fillable | Forms | erie-st-clair | forms | ||
| Referral and Treatment Form – Pain Medication | Referral and treatment plan pain medication order form – fillable | Forms | erie-st-clair | forms | ||
| Replenishment Order Form – Nursing | Replenishment order form nursing – fillable | Forms | erie-st-clair | forms | ||
| Replenishment Order Form – WCS | Replenishment order form WCS – fillable | Forms | erie-st-clair | forms | ||
| Symptom Response Kit Request Order Form (Chatham and Sarnia ONLY) | Symptom Response Kit (SRK) Request Order Form Chatham/Sarnia | Forms | erie-st-clair | forms | ||
| Symptom Response Kit Request Order Form (Windsor ONLY) | Symptom Response Kit (SRK) Request Order Form Windsor | Forms | erie-st-clair | forms | ||
| Telehomecare Referral Form | Telehomecare referral form – fillable | Forms | erie-st-clair | forms | ||
| Total Contact Casting Treatment and Assessment | Total contact casting treatment and assessment forms – fillable | Forms | erie-st-clair | forms | ||
| Walker Assessment Form | Walker assessment eligibility form | Forms | erie-st-clair | forms | ||
| WRH – Ouellette – ER – First Dose (ESC) | … | Forms | erie-st-clair | forms | ||
| WRH Met Outpatient Referral and Treatment Form | Windsor Regional Hospital – Met Campus out patient referral and treatment form – fillable | Forms | erie-st-clair | forms | ||
| WRH-Met-ER Referral and Treatment Form | Windsor Regional Hospital – Met Campus emergency referral and treatment form – fillable | Forms | erie-st-clair | forms | ||
| WRH-Met-Inpatient Referral and Treatment Form | … | Forms | erie-st-clair | forms | ||
| WRH-Met-Outpatient URO Referral and Treatment Form | Windsor Regional Hospital – Met Campus outpatient URO referral and treatment form – fillable | Forms | erie-st-clair | forms | ||
| WRH-Ouellette-ER Referral and Treatment Form | … | Forms | erie-st-clair | forms | ||
| WRH-Ouellette-Inpatient Referral and Treatment Form | … | Forms | erie-st-clair | forms | ||
| WRH-Ouellette-Outpatient Referral and Treatment Form | Windsor Regional Hospital – Ouellette Campus outpatient referral and treatment form – fillable | Forms | erie-st-clair | forms |